{"title":"Poor sleep quality is an overlooked risk for geriatric syndromes in older adults with type 2 diabetes mellitus.","authors":"Sencer Ganidagli, Zeynel Abidin Ozturk","doi":"10.1080/00325481.2023.2257125","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Aging and type 2 diabetes mellitus (DM) are two different conditions that impair sleep quality. The primary objective of this study was to investigate the impact of sleep quality on geriatric syndromes in older diabetic adults.</p><p><strong>Methods: </strong>Comprehensive geriatric assessment was performed on 236 patients. The assessment included the Geriatric Depression Scale (GDS), Beck Anxiety Inventory (BAI), European Quality of Life Questionnaire (EQ-5D), Mini Mental Statement Examination (MMSE), Pittsburgh Sleep Quality Index (PSQI), Mini Nutritional Assessment, and measurement of handgrip strength (HGS).</p><p><strong>Results: </strong>Of the participants, 55% had DM, and 61.4% had poor sleep quality. Poor sleep prevalence was higher in diabetic patients (68.5%) than in non-diabetics (52.8%). Diabetic patients with poor sleep quality had higher frequencies of chronic pain, recurrent urinary tract infections, confirmed sarcopenia, and frailty (<i>p</i> = 0.015, <i>p</i> < 0.001, <i>p</i> = 0.027, and <i>p</i> < 0.001, respectively), a higher number of comorbidities and higher GDS and BAI scores (<i>p</i> = 0.046, <i>p</i> < 0.001 and <i>p</i> < 0.001, respectively), and lower scores of activities of daily living, HGS, and EQ-5D index (<i>p</i> = 0.023, <i>p</i> = 0.004, and <i>p</i> < 0.001, respectively) compared to diabetic patients with good sleep quality. According to the correlation analysis results, PSQI score had a positive correlation with GDS score (<i>r</i> = 0.461, <i>p</i> < 0.001) and a negative correlation with Mini Nutritional Assessment score (<i>r</i> = -0.317, <i>p</i> < 0.001), skeletal muscle mass index (<i>r</i> = -0.283, <i>p</i> = 0.002) and HGS (<i>r</i> = -0.307, <i>p</i> < 0.001) scores in diabetic older adults.</p><p><strong>Conclusion: </strong>Poor sleep quality in older diabetic patients has a negative impact on several geriatric syndromes. Our findings suggest that poor sleep quality is an independent risk factor for depression, malnutrition, and lower muscle mass in older diabetic adults. Improving sleep quality may play a crucial role in preventing and managing geriatric syndromes in this population.</p>","PeriodicalId":20329,"journal":{"name":"Postgraduate Medicine","volume":" ","pages":"717-726"},"PeriodicalIF":2.6000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Postgraduate Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/00325481.2023.2257125","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/9/12 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Aging and type 2 diabetes mellitus (DM) are two different conditions that impair sleep quality. The primary objective of this study was to investigate the impact of sleep quality on geriatric syndromes in older diabetic adults.
Methods: Comprehensive geriatric assessment was performed on 236 patients. The assessment included the Geriatric Depression Scale (GDS), Beck Anxiety Inventory (BAI), European Quality of Life Questionnaire (EQ-5D), Mini Mental Statement Examination (MMSE), Pittsburgh Sleep Quality Index (PSQI), Mini Nutritional Assessment, and measurement of handgrip strength (HGS).
Results: Of the participants, 55% had DM, and 61.4% had poor sleep quality. Poor sleep prevalence was higher in diabetic patients (68.5%) than in non-diabetics (52.8%). Diabetic patients with poor sleep quality had higher frequencies of chronic pain, recurrent urinary tract infections, confirmed sarcopenia, and frailty (p = 0.015, p < 0.001, p = 0.027, and p < 0.001, respectively), a higher number of comorbidities and higher GDS and BAI scores (p = 0.046, p < 0.001 and p < 0.001, respectively), and lower scores of activities of daily living, HGS, and EQ-5D index (p = 0.023, p = 0.004, and p < 0.001, respectively) compared to diabetic patients with good sleep quality. According to the correlation analysis results, PSQI score had a positive correlation with GDS score (r = 0.461, p < 0.001) and a negative correlation with Mini Nutritional Assessment score (r = -0.317, p < 0.001), skeletal muscle mass index (r = -0.283, p = 0.002) and HGS (r = -0.307, p < 0.001) scores in diabetic older adults.
Conclusion: Poor sleep quality in older diabetic patients has a negative impact on several geriatric syndromes. Our findings suggest that poor sleep quality is an independent risk factor for depression, malnutrition, and lower muscle mass in older diabetic adults. Improving sleep quality may play a crucial role in preventing and managing geriatric syndromes in this population.
背景：衰老和2型糖尿病是影响睡眠质量的两种不同情况。本研究的主要目的是调查睡眠质量对老年糖尿病患者老年综合征的影响。方法：对236例患者进行老年综合评估。评估包括老年抑郁量表（GDS）、贝克焦虑量表（BAI）、欧洲生活质量问卷（EQ-5D）、简易精神状态检查（MMSE）、匹兹堡睡眠质量指数（PSQI）、简易营养评估和握力测量（HGS）。糖尿病患者的睡眠不良发生率（68.5%）高于非糖尿病患者（52.8%）。睡眠质量差的糖尿病患者出现慢性疼痛、复发性尿路感染、确诊的少肌症和虚弱的频率更高（p = 0.015，p p = 0.027和p p = 0.046，p p p = 0.023，p = 0.004和p r = 0.461，p r = -0.317，p r = -0.283，p=0.002）和HGS（r = -0.307，p 结论：老年糖尿病患者睡眠质量差对几种老年综合征有负面影响。我们的研究结果表明，睡眠质量差是老年糖尿病患者抑郁、营养不良和肌肉质量下降的独立风险因素。改善睡眠质量可能在预防和管理这一人群的老年综合征方面发挥关键作用。
期刊介绍：
Postgraduate Medicine is a rapid peer-reviewed medical journal published for physicians. Tracing its roots back to 1916, Postgraduate Medicine was established by Charles Mayo, MD, as a peer-to-peer method of communicating the latest research to aid physicians when making treatment decisions, and it maintains that aim to this day. In addition to its core subscriber base, Postgraduate Medicine is distributed to hundreds of US-based physicians within internal medicine and family practice.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
